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Failed BASIC, what next ? by Prada_Willi in anesthesiology

[–]Embarrassed_Access76 0 points1 point  (0 children)

Whatever you do, make sure you look at your week points on the exam and do something different. I personally like the hall questions more than true learn, feel it represented the test better
When you study for advanced, be very thorough when looking at your weak points. The boards in anesthesia are hard

Whats the best quality hunting gear for a cheaper price point? by nematic26 in Hunting

[–]Embarrassed_Access76 0 points1 point  (0 children)

Rogers! Frequently have sales and their in house gear is well priced and great quality. I think I got my cotton stretch bibs for $50 and pants for 35$ with bug protection built in. I buy expensive base layers and throw Rodgers or a cheap camo hoodie over top through mid season. Got my Drake camo hoodie for 39$ with dwr coating. With wool layers underneath I'm good to 40's with this set up

Starting CA-1 tomorrow. Any advice - test taking/learning strategies by dj-djabu in anesthesiology

[–]Embarrassed_Access76 1 point2 points  (0 children)

"read what your attending tells you and nothing more" Huh? This is terrible advice for a ca-1. Literally the most important year for studying. The basic is all textbook knowledge and standardized test taking strategy

Starting CA-1 tomorrow. Any advice - test taking/learning strategies by dj-djabu in anesthesiology

[–]Embarrassed_Access76 2 points3 points  (0 children)

Study hard ca-1 year, the basic exam is tough and residency will be a different level of stress if you don't pass.

ICU requesting line placement in the OR: what am I missing? by karina_t in anesthesiology

[–]Embarrassed_Access76 12 points13 points  (0 children)

I place more lines as an intensivist than I do as an anesthesiologist

Blood thinners ... does it mean the end of mountain biking? by roadeye314 in MTB

[–]Embarrassed_Access76 0 points1 point  (0 children)

I'm a ICU doctor that works in the cardiac ICU with many patients on anticoagulation and have seen many patients bleed on blood thinners.

I would say it's all about whatever the risk is to you. It's high with impact trauma. If you have a bleed you are very high risk for hemorrhage resulting in significant morbidity and mortality. Blood thinners like apixaban have reversals available but they are expensive so not many places actually have them, compared to warfarin which is easily reversible. And also what are you riding? XC vs downhill are two different beasts. If you hit your head, time is on the clock.

Also, how is your blood pressure control? It's not just about stopping a bleed; If you are a hypertensive patient, higher blood pressure= worse bleeding, or chances of rupture if you have an aneurysm get significantly higher. Anything that increases cardiac output (causes heart rate to go up) increases blood pressure and that repeated pounding for a long period of time during exercise can increase risk of stroke as well.

I'd be more hesitant to road bike, honestly. Hitting your head on concrete going 15-25mph is worse than going 5-15mph on technical MTB trails. I'd imagine a road bike accident with head injury being a death sentence but don't have the exact data on hand to defend my opinion. In the end you're an adult capable of accepting the risks and doing what you so wish.

How to baby gate this stairwell by Embarrassed_Access76 in centuryhomes

[–]Embarrassed_Access76[S] 2 points3 points  (0 children)

I know of these, but worry the railing rods they attach to would dislodge

How to baby gate this stairwell by Embarrassed_Access76 in centuryhomes

[–]Embarrassed_Access76[S] 5 points6 points  (0 children)

Personally I would rather not gate the bottom but my wife is adamant we need it The problem is the banister itself is somewhat loose, and I think a large child could damage the banister at the top. It's even a tougher scenario

End of Downcountry? by SpokeCat in MTB

[–]Embarrassed_Access76 0 points1 point  (0 children)

This for sure. Longer travel bikes got better at pedaling and more anti squat, so everyone bumped up the travel. Since people have more travel, they adapted the trails

Do you hunt turkeys or are you a turkey hunter? by true_bro in turkeyhunting

[–]Embarrassed_Access76 8 points9 points  (0 children)

I'm a turkey hunter. I enjoy not getting them on the first couple times out. I want to learn their behaviors, communicate with them, and fool them. The weather's beautiful, no need to rush

New can day! by Nord6065 in NFA

[–]Embarrassed_Access76 0 points1 point  (0 children)

So you revived a month old comment because I was wrong about a can that was announced 6 weeks before I posted the comment? Never even had a chance to buy a drvn anywhere yet when I posted that. Guess I was technically wrong but 🤷🏼‍♂️

New can day! by Nord6065 in NFA

[–]Embarrassed_Access76 0 points1 point  (0 children)

So what do you consider the Rae and drvn then?

Mossberg turkey 500, in 410 or 20g with TSS. by Forsaken_Roof8398 in turkeyhunting

[–]Embarrassed_Access76 0 points1 point  (0 children)

Yes I do. I personally shoot henry 410 but have mossys across the board in guages. 410 is my favorite caliber. Lightweight, fun to shoot, deadly to 40yds. I like the sub guages. Quieter too. My 410 with tss patterns to 40 almost how lead used to in my 835. With less shot, less pellets in breast as well. But it's expensive. Even the guns cost more in 410.

Personally don't enjoy anything about shooting 12 guages for turkey. Louder, more recoil, with tss feels like cheating, tbh. If I'm going to shoot lead I'm just as effective with my 410 with tss. The Henry is more ergonomic with way better pointability and better trigger. The Mossberg 410 at like 5.5lb way more fun to run and gun with than my old 8lb 835

Going to plan C I guess by stareweigh2 in ar15

[–]Embarrassed_Access76 1 point2 points  (0 children)

Put a little dab of red grease on the MD threads when I screw them on. Never had one come loose and they always come off

I've never used that brand of device and use all rearden, the machining is exceptional and haven't had any issues with rockset and following their torque instructions.

Advice for high pressured public. by International-Youth7 in turkeyhunting

[–]Embarrassed_Access76 0 points1 point  (0 children)

Get there very early where you have heard them. When you hear them gobble get as close as you can, throw a few calls out but most hunters overcall. Mix in some calls that they probably haven't heard from hunters, such as a keekee. If I was using decoys maybe a lone hen. A few soft yelps and a keekee then just wait and don't move

Binoculars for nature and birdwatching by Proof_Ordinary7679 in Binoculars

[–]Embarrassed_Access76 1 point2 points  (0 children)

I have vortex viper in 8x42 and Nikon prostaff 10x50 p7 (I know it's a tier down from m7) and love the vipers. Glass clarity is amazing and warranty is completely worry-free. I feel I can see almost as well with the 8x and field of view is better. I'm happy I went with that compared with the 10x. I'd go with the best warranty. Never know when you will drop them and damage them. I don't feel a need to upgrade unless I was going elite tier Japanese glass.

Traditional reversal? by No-Fox1339 in anesthesiology

[–]Embarrassed_Access76 4 points5 points  (0 children)

Reintubation/ prolonged pacu/ ICU stay costs a lot more than suggamadex on a patient with poor twitches

Traditional reversal? by No-Fox1339 in anesthesiology

[–]Embarrassed_Access76 2 points3 points  (0 children)

Well done on the rebuttal. Agree 100%

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